To register for your subsidy please fill in the details below.

Name *

Name

First Name

Last Name

Phone number *

Email Address *

Please tick if you would like your subsidy number emailed or posted: *

Post

Address (if posting voucher information)

Please select which level of course you will be attending

What date will you be attending a course

After 30 June 2019

Please tick area you live in

Tasman

Nelson

Marlborough

Please select the age range you fit in to

What motorbike licence do you have?

Please note - Redemption value not to exceed $50.00 or the cost of the course whatever is the lesser; All or part of voucher not redeemable for cash or carryover; The subsidy cannot be used for any training in regard to licence courses or testing; It is at the discretion of Ride to Live on the number of vouchers a rider can register for.

To register for your subsidy please fill in the details below.

Nelson/Tasman

Marlborough

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